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During the routine surveillance, we isolated nine H4N6 subtype avian influenza viruses (AIVs) in Jiangsu Province, China, in March 2023. Phylogenetic analysis revealed that nine H4N6 viruses belonged to the Eurasian lineage and underwent complex genetic recombination among Asian countries during their evolution. It is particularly noteworthy that the PB2 and PB1 genes of our representative virus were descended from clade 2.3.4.4b H5 high-pathogenic AIVs in Japan. Mutations of D3V and D622G in PB1, N66S in PB1-F2, N30D, I43M, and T215A in M1, and P42S and I106M in NS1 were observed in nine isolates, which may increase the pathogenicity of the viruses in mice. The receptor binding analysis showed that the tested H4N6 virus could bind to both avian-type and human-type receptors. Vitro infection kinetics revealed that the representative virus could efficiently replicate in mammalian cells, including MDCK and 293T cells. Pathogenicity tests in mice indicated that the representative virus could replicate in nasal turbinates and lungs without prior adaptation. Our data reveal the potential public health issues represented by H4N6 viruses from wild birds and highlight the need to strengthen routine surveillance of wild birds. [ABSTRACT FROM AUTHOR]

Background: The incidence of hepatitis B virus (HBV) has decreased year by year in China after the expansion of vaccination, but there is still a high disease burden in Jiangsu Province of China. Methods: The year-by-year incidence data of HBV in Jiangsu Province from 1990 to 2021 were collected. The incidence rates of males and females age groups were clustered by systematic clustering, and the incidence rates of each age group were analyzed and studied by using Joinpoint regression model and age-period-cohort effect model (APC). Results: Joinpoint regression model and APC model showed a general decrease in HBV prevalence in both males and females. In addition, the results of the APC model showed that the age, period, and cohort effects of patients all affected the incidence of HBV, and the incidence was higher in males than in females. The incidence is highest in the population between the ages of 15 and 30 years (mean: 21.76/100,000), especially in males (mean: 31.53/100,000) than in females (mean:11.67/100,000). Another high-risk group is those over 60 years of age (mean: 21.40/100,000), especially males (mean: 31.17/100,000) than females (mean: 11.63/100,000). The period effect of the APC model suggests that HBV vaccination is effective in reducing the incidence of HBV in the population. Conclusions: The incidence of HBV in Jiangsu Province showed a gradual downward trend, but the disease burden in males was higher than that in females. The incidence is higher and increasing rapidly in the population between the ages of 15 and 30 years and people over 60 years of age. More targeted prevention and control measures should be implemented for males and the elderly. [ABSTRACT FROM AUTHOR]

The purpose of this study was to investigate possible influencing factors based on the distribution of the pertussis toxin (PT) and filamentous hemagglutinin (FHA) antibody levels in 0–14-year-old children in Jiangsu Province, China, and to analyze changes in IgG antibody levels after pertussis vaccination in children over time via a restricted cubic spline (RCS)-fitted binary logistic regression model. We collected surveillance data on pertussis through the National Notifiable Disease Reporting System (NNDRS). Serum samples were collected, and PT IgG/FHA IgG antibody levels were determined via an enzyme-linked immunosorbent assay (ELISA). A binary logistic regression model was fitted with an RCS. Peak incidence occurred in children aged 0–1 years from 2007 to 2022, and a second peak emerged in children aged 5 years and older from 2018 onwards which shifted towards older age groups. The geometric mean concentrations (GMC) of the anti-PT IgG antibody and anti-FHA IgG antibody in 1129 patients were 15.13 (13.49–16.76) IU/mL and 22.99 (21.17–24.81) IU/mL, respectively. The seropositivity rates of the anti-PT IgG and anti-FHA IgG antibodies in the group receiving a full vaccination course (four doses) were significantly higher than those of other groups (24.6% vs. 43.3%). The RCS fitting model showed a non-linear relationship between the duration after immunization and the odds ratio (OR) of having PT-IgG and FHA-IgG antibody concentrations ≥20 IU/mL in children with documented immunization histories (1–4 doses) (Poverall < 0. 001; Pnonlinear ≤ 0.001). The children with histories of immunization demonstrated antibody levels that decreased to very low levels around 17 months after the last dose of the vaccine. Therefore, it is recommended that pertussis-containing vaccines be administered as booster immunizations for older children. [ABSTRACT FROM AUTHOR]

Aims: The bivalent oral poliovirus vaccine (bOPV; Sabin types 1 and 3) replaced the trivalent OPV (Sabin types 1, 2 and 3) globally in April 2016. A routine schedule of 1 dose of inactivated poliovirus vaccine and 3 subsequent doses of bOPV was implemented in Jiangsu simultaneously. The schedule was changed to 2 inactivated poliovirus vaccines + 2 bOPV on 1 September 2019. Although OPV type 2 has been removed, challenges persist because of adverse events following immunization (AEFIs) with bOPV. Therefore, we analysed and evaluated the safety profile of bOPV administered in children based on passive postmarketing AEFI surveillance. Methods: We collected all bOPV‐related AEFI reports in Jiangsu from the Chinese National AEFI Information System (CNAEFIS) between May 2016 and April 2020. We obtained the administered doses of bOPV from the Jiangsu Provincial Electronic Immunization Registries System. A descriptive analysis was performed. Results: In total, 2084 bOPV‐related AEFIs were retrieved from the CNAEFIS. The overall reporting rate was 24.16 per 100 000 doses. Most AEFIs were nonserious. The most frequently reported symptoms were fever, rash and gastrointestinal disorders. Only 1.34% of AEFIs were serious, which thrombocytopenic purpura accounted for the largest category. Seventeen serious adverse events, including 2 vaccine‐associated paralytic poliomyelitis (VAPP) cases, were considered to be related to bOPV vaccination. The rate of VAPP was 0.2 per million doses. Conclusion: AEFI analysis showed that bOPV was well tolerated. The events most frequently reported were nonserious. However, bOPV can still cause VAPP. Attention should be given to risks related to bOPV. [ABSTRACT FROM AUTHOR]

Background: Changes in the epidemiological characteristics of measles since 2007 appeared in the Jiangsu province. Although the reported coverage with two doses of measles vaccine was greater than 95% in most regions of the province, measles incidence remained high across the whole province. Cross-sectional serological surveys of measles antibodies in the Jiangsu province of China were conducted from 2008 to 2010 to assess and track population immunity. Methods: Measles-specific IgG levels were measured in serum samples using ELISA. GMTs and seroprevalence with 95% CIs were calculated by region, gender, and age. ANOVA and χ2 tests were used to test for statistically significant differences between groups for GMT levels and seroprevalence, respectively. Results: Seroprevalence showed a significantly increasing trend annually (CMH χ2 = 40.32, p<0.0001). Although the seroprevalence among children aged 2–15 years was consistently over 95%, vaccine-induced measles antibodies may wane over time. Measles seropositivity in the Jiangsu province was 91.7% (95% CI: 90.1–93.2%) in 2010. Among adults aged 15 to 29-year-olds, the seropositivity rate was 88.4% (95% CI: 82.7–92.8%). Conclusions: Vaccination strategies may need to be adjusted depending on the individual age and regions, particularly individuals between the ages of 8 months-14 years old and 20–29 years old. Additional SIAs are likely required to eliminate measles in China. [ABSTRACT FROM AUTHOR]

Carbon, nitrogen, and phosphorus—nutrient and restrictive elements for plant growth and important components of the plant body—are mainly transferred and exchanged between plants and the soil environment. Changes in the carbon, nitrogen, and phosphorus eco-stoichiometry greatly impact the growth and expansion of Spartina alterniflora, and understanding these changes can reveal the nutrient coordination mechanism among ecosystem components. To explore the relationship between leaf and soil eco-stoichiometry and determine the key soil factors that affect leaf eco-stoichiometry, we collected leaf and soil samples of S. alterniflora at different tidal levels (i.e., 1, 3, and 5 km away from the coastline) in a coastal wetland in the Yancheng Elk Nature Reserve, Jiangsu province. We measured the leaf and soil carbon, nitrogen, and phosphorus contents and ratios, as well as the soil salinity and soil organic carbon. The results revealed the following. (1) The leaf stoichiometric characteristics and soil properties of S. alterniflora differed significantly between tidal levels; for example, total carbon, nitrogen, soil organic carbon were detected at their highest levels at 3 km and lowest levels at 5 km. (2) Significant correlations were detected between the leaf stoichiometric characteristics and soil characteristics. Additionally, nitrogen limitation was evident in the study area, as indicated by the nitrogen–phosphorus ratio being less than 14 and the soil nitrogen–phosphorus ratio being less than 1. (3) Soil salinity and the soil carbon–nitrogen ratio were shown to be the key factors that affect the eco-stoichiometric characteristics of S. alterniflora. These findings furthered our understanding of the nutrient distribution mechanisms and invasion strategy of S. alterniflora and can thus be used to guide S. alterniflora control policies formulated by government management departments in China. [ABSTRACT FROM AUTHOR]

Background: In recent years, outbreaks of varicella have continued to occur, and the coverage rate of varicella vaccine in Jiangsu Province, China, remains unclear. This study aims to analyse the levels of immune antibody against varicella and obtain a comprehensive understanding of the varicella attenuated live vaccine (VarV) coverage rate in children aged 1-9 years in Jiangsu Province.Methods: From June to October 2016, a cross-sectional survey was conducted to collect 3631 serum samples from healthy children aged 1-9 years in Jiangsu Province. The immunoglobulin G (IgG) antibody levels of varicella were detected by enzyme-linked immunosorbent assay (ELISA).Results: The VarV coverage rate of healthy children was only 43.1% (95% CI: 41.1-44.7%). The seroprevalence after vaccination with a single dose of VarV was only 57.1%, and the overall seropositivity and geometric antibody titre (GMC) were 43.5% and 225.4 mU/ml, respectively. The seropositivity was significantly higher in girls than in boys (χ2 = 18.82, P < 0.001). The difference in seropositivity between the 5-9 age group and 1-4 age group was statistically significant (χ2 = 84.31, P < 0.001). The difference in seropositivity between different regions was statistically significant, with the highest seropositivity in the northern area, 53.7% (χ2 = 35.64, P < 0.001). The seropositivity in the group receiving one dose of VarV was significantly higher than that of the unvaccinated group (χ2 = 205.16, P < 0.001). Linear regression analysis suggested that the GMC of varicella antibodies wanes with the time since vaccination (F = 65.01, P = 0.002).Conclusion: The VarV coverage rate of healthy children in Jiangsu Province was low. Sero-conversion rates were also low after one dose of VarV, and the immune effectiveness of a single dose of VarV was limited. To control the spread of varicella, VarV should be included in the routine immunization program, and strengthened immunization measures for the varicella-susceptible population warrant additional consideration. [ABSTRACT FROM AUTHOR]

Remote sensing technologies are frequently employed in monitoring and evaluating agricultural meteorological disasters because they can provide high throughput and cost-effective accesses to obtain a variety of real-time spatial data related to crop growth information. Accurately and timely estimating the drought dynamics using remote sensing is valuable for improving crop management level and promoting agricultural sustainable development. In this study, the responses of winter wheat during the critical growth stages to different drought levels from 2010 to 2020 in the Huang-Huai-Hai (HHH) region of China were evaluated based on Google Earth Engine. Four critical developmental stages of winter wheat were highlighted: greening－jointing, jointing－heading, heading－milking maturity, and milking maturity－maturity stages. The temperature vegetation dryness index (TVDI) was constructed for evaluating the drought of winter wheat. Our results indicated that the winter wheat in the HHH region during 2010－2020 was clearly impacted by drought disasters, mainly mild to moderate droughts. In particular, the TVDI index during the critical development stages of winter wheat from 2010 to 2020 wavered in the scope of 0.48 and 0.61, and the soil moisture content at a depth of 10 cm tended to obviously reducing with a rate of − 0.1615/a. For critical growth stages, the winter wheat in the HHH Region was the most prone to threatened by drought during the stage of jointing－heading, following the stage of milking maturity－maturity. The high probability incidence of drought in winter wheat gradually shifted from the nutritional growth to the reproductive growth stages, which increased the risk of drought affecting yield. Furthermore, the notable spatial variations of drought in winter wheat in the HHH region were found. The winter wheat was evidently threatened by moderate and severe droughts in certain areas such as southern Hebei province, northern Jiangsu province, Anhui province, etc. Our results provide new insights into the studies on monitoring and evaluating agricultural meteorological disasters based on remote sensing technology. [Display omitted] • We established temperature vegetation dryness index (TVDI) for winter wheat. • We explored the spatiotemporal dynamics in drought of winter wheat based on TVDI. • We revealed the responses of winter wheat during the critical stages to droughts. • Google Earth Engine technology and long-term field observations were used. [ABSTRACT FROM AUTHOR]